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eHealth Pilot Helps Chronically Ill

Posted on May 28, 2013 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

An 18-month pilot in one of Rio de Janeiro has demonstrated that even a small amount of health IT tools, applied to the right population, can have a significant effect on targeted patients’ health.

To conduct the pilot, the New Cities Foundation and GE Healthcare set out to test out a model which would improve access to primary care in a poor urban community, reports PMLive. (Note: The New Cities Foundation was established by GE, Cisco and Ericsson.)

The partners gave a clinic in the Santa Marta favela in Rio a GE-created eHealth kit, capable of fitting in a backpack, which contained a set of tools to measure key health indicators.  The materials in the kit, if purchased by outside parties, would usually cost about $42,000.

Clinic staff used the portable set of tools to visit 100 elderly patients living with chronic illness and mobility issues, in an effort to offer these patients a comprehensive diagnosis, the publication said.

According to a report created on the project by the Foundation, the results were substantial. Cost savings due to avoiding adverse clinical events included $4,000 (heart failure) to $200,000 (kidney failure) per 100 elderly patients.  Meanwhile, the pilot saved $136,000 per 1,000 patients by avoiding hospitalizations of those with cardiovascular diseases.

Time and time again, research shows that proactively providing preventive care takes costs out of the health system. This model, which seems like it could be duplicated easily in the U.S., should be tested widely in urban “health deserts” here. Any approach which brings primary care to where the frail, immobile elderly are seems almost guaranteed to be a winner.

Matthew Holt’s Impressions from HIMSS

Posted on March 14, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m still working through some of the various wrap ups from HIMSS that I’ve found. Matthew Holt is always an interesting blogger. Turns out that he’s even more interesting in person. Here’s a few of his thoughts that I think are worth sharing:

Busiest booth?: I think Cisco wins. Maybe it was HealthPresence, maybe the magician—but it was always packed. What I think it means is that mainstream Internet tools are now coming into health care (with some little tweeks). But as MrHISTalk says, putting all the big guys in the A hall was a mite unfair on the C side—although I got to both a little.

Most intruiging announcement?: Epocrates will release a hand-held and web-base EMR app for the iPhone and other handhelds. Why is that interesting? Because they already have 275,000 docs actively using their tool on a handheld, most on iPhones. If their tool’s any good you have to assume they have a great marketing advantage. If this succeeds there’s no way they remain independent in 18 months.

Most interesting niche company you’ve never heard of whose CEO you randomly met at a party?: LiveProcess is a SaaS-based emergency preparedness tool. (I think CEO Nathaniel Weiss said) it has 500 hospitals paying $10K a year each with no customization.

Other interesting niche company?: CPM does CRM outbound marketing for hospitals and as nearly doubled in size during the downturn (video of them to come).

Most interesting philosophical chat?: Andy Weisenthal of Kaiser Permanente discussing how specialists are going to change entirely what they do now that everything in KP is online. One Hawaii endocrenologist is on a jihad to prevent diabetics ending up on dialysis—he’s completely reorganized how primary care docs treat their patients. It’s almost like his goal is to put himself out of a job. Andy said about Healthconnect’s finalization of the $6bn (?) implementation—”It’s not the end, it’s the start”.

It’s also worth linking to Matthew Holt’s interview with Epocrates about the Epocrates EHR. Although, I also just remembered I could embed it below: